Individual
LACY MICHELLE HENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCACA, MATS
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 767-5341
Mailing address
2708 E THOMPSON RD, INDIANAPOLIS, IN 46227-4453
(317) 767-5341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87900161A
IN
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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